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We treated two patients with COVID-19 pneumonia requiring technical air flow. Case 1 ended up being a 73-year-old Japanese guy. Computed tomography (CT) unveiled ground-glass opacities both in lungs. He had extreme breathing failure with a partial pressure of air in arterial blood/fraction of inspiratory oxygen ratio (P/F ratio) of 203. Electrocardiogram showed a heart rate (HR) of 56 beats/min, slight ST despair in leads II, III, and aVF, and moderate saddle-
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